Improved Patient Care through Research

Self-etching Bonding Agents

Adhesives for bonding direct and indirect restorative materials to tooth structure continue to evolve. Multiple-bottle bonding agents (4th-generation) provide high bond strengths and are dependable. Single-bottle bonding agents (5th-generation) require fewer steps and provide high bond strengths. The latest bonding agents (6th- and 7th-generation) eliminate the need for etching with phosphoric acid by the use of an acidic primer. The 6th-generation Type I self-etching primers + adhesives (Clearfil SE Bond) have components that are applied separately to the tooth. The 6th-generation Type II self-etching adhesives (3M ESPE Adper Prompt L-Pop Self-Etch Adhesive, Xeno III) are first mixed and then applied. The 7th-generation bonding agents (iBOND) are self-etching adhesives that require no mixing. The 6th- and 7th-generation bonding agents dissolve the smear layer when applied and do not require rinsing. Even with improvements in adhesives, various clinical factors can adversely affect the bond strength (see Clinical Hints). Bond strengths to enamel and superficial dentin are typically greater than to deep dentin.

Clinical Hints
Teeth can be moist or dry Avoid pools of water or over-drying. Hemostatic agents and caries detectors If contamination of the etched tooth occurs, rinse profusely with water and reapply the self-etching bonding agent. Drying the primer Follow manufacturers recommendations for evaporating the solvent carefully. Water does not evaporate quickly. Eugenol-based temporary restorations Avoid eugenol-based provisional materials. Use a non-eugenol material. Bleaching agents Wait 1 week after bleaching before a bonding procedure. LED light-curing unit Bonding agents with initiators other than CQ (camphorquinone) may not cure with LED lights. Post-operative sensitivity Self-etching bonding agents dissolve the smear layer without exposing dentinal tubules, thereby helping to minimize post-operative sensitivity.

This months feature of THE DENTAL ADVISOR is taken from the October 2003 issue, Vol. 20, No. 8. For subscription information, please call (734) 665-2020.

EDITORS
John W. Farah, D.D.S., Ph.D. John M. Powers, Ph.D.

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info@dentaladvisor.com

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www.dentaladvisor.com

Compatibility of Self-etching Bonding Agents with Self-cured Composites

6th-generation Type I (self-etching primer and adhesive) bonding agents are generally compatible with self-cured composite cores or resin cements. A compatible dual-cured adhesive is applied to the primed tooth before the composite is applied. 6th-generation Type II (self-etching adhesive) and 7th-generation bonding agents are not compatible with self-cured composite cores or resin cements. The acidity of the bonding agent can interfere with the setting of the composite.

Rating Self-etching Bonding Agents

Re le Re as fri e ge or Re ra tio co n m R N m eq um en u be de ire ro d d fS To te ta ps lT im Bo e, n se En d S co am tre nd ng s el , M th Bo , nd Pa De S nt tre in ng , M th C Pa , os t, $/ m l* Ra tin g of C ur e W t. % Fi lle r,

Un it Do se

Product

Company

6th-generation Type I (Self-etching Primer and Adhesive): ADHESE CLEARFIL LINER BOND 2V CLEARFIL SE BOND CONTAX FL-BOND GC UNIFIL BOND NANO-BOND ONE-STEP PLUS WITH TYRIAN SPE OPTIBOND SOLO PLUS SELF-ETCH ADHESIVE SYSTEM IVOCLAR VIVADENT KURARAY AMERICA KURARAY AMERICA ZENITH/DMG SHOFU GC AMERICA PENTRON CLINICAL TECHNOLOGIES BISCO SDS/KERR LC DC LC DC, LC LC LC DC, LC LC DC, LC No No No No No No No No Yes 2 10 10 0 17 0 8.5 15 No No No Yes Yes Yes No No Yes No Yes Yes No No Yes Yes No No 6 6 5 3 5 4 5 6 7 51 66 46 60 33 38 63 50 76 16 28 29 20 21 20 14 na 28 21 35 28 20 27 30 20 na 25 21.00 32.00 21.80 33.30 30.00 19.83 14.99 15.83 41.60 94% 87% 95% ce 91% 88% 84% na ce

6th-generation - Type II (Self-etching Adhesive): 3M ESPE ADPER PROMPT L-POP 3M ESPE SELF-ETCH ADHESIVE BRUSH&BOND ONE-UP BOND F TENURE UNI-BOND WITH GLOSS-N-SEAL TOUCH&BOND XENO III PARKELL TOKUYAMA DENTAL CORP./J. MORITA USA DEN-MAT PARKELL DENTSPLY/CAULK LC LC LC LC LC LC Yes No No No No No 0 0 10 0 0 4.8 No No Yes No No Yes No No Yes No Yes No 4 3 3 5 4 4 38 33 35 38 38 38 22# 10 22 na 12 31 12# 15 21 na 2 29 15.99 33.00 10.90 13.25 18.00 20.00 89% 89% 91% ce na 96%

7th-generation (No Mix, Self-etching Adhesive): IBOND HERAEUS KULZER LC Yes 0 No Yes 3 50 19 12 25.00 90% na=not available, ce=currently being evaluated *Costs are listed for comparison only and are not used to calculate the ratings. All costs are listed in U.S. dollars. 24-hour tensile bond strengths #Bond strengths are based on a 1-coat technique; instructions for use now indicate a 2-coat technique.

THE DENTAL ADVISOR Recommends: 6th-generation, Type I Clearfil SE Bond, AdheSE, FL-BOND 6th-generation, Type II Xeno III, One-Up Bond F 7th-generation iBOND

Xeno III (DENTSPLY/Caulk)

Clearfil SE Bond (Kuraray America)

FL-BOND (Shofu)

Fl uo rid e

Ty pe

One-Up Bond F (Tokuyama Dental Corp./ J. Morita USA)